NPI | 1528021490 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: CA A79456) |
Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA A79456) |
207RP1001X Internal Medicine Pulmonary Disease (Licence: CA A79456) | |
Enumeration Date | 2006-04-10 |
Last Update Date | 2020-04-06 |